However, screening is not recommended because it has not been shown to improve patient outcomes..
Lifestyle recommendations include moderating alcohol use, quitting smoking, exercising, and losing weight if obese. Good news: Coffee need not be restricted.
The authors recommend using a risk score such as CHADS2-VASC to determine the patient’s risk of stroke; if the annual risk of stroke is between 1% and 2% anticoagulation should be considered, and if the annual risk of stroke is greater than 2% then anticoagulation is strongly recommended.
For patients who are low risk (< 1%) — for example, younger than 65 years and without any risk factors for stroke — anticoagulation is not recommended. The guidelines also do not recommend aspirin or aspirin plus clopidogrel for these patients unless there is another indication, such as coronary heart disease.
With regard to the choice of anticoagulant, a standard dose of a direct oral anticoagulant (DOAC) is recommended over vitamin K antagonists like warfarin. The exceptions are patients who those with moderate to several mitral stenosis, and those with a mechanical heart valve.
Episode 227: 227. NEW--Complications of Lung Cancer Screening
Episode 226: 226. Aspirin for Primary Prevention
Episode 225: 225. Is Nonoperative Management of Appendicitis Worth It?
Episode 224: 224. Lactated Ringers or Normal Saline for Acute Pancreatitis
Episode 223: 223. Every Step You Take...Decreases Mortality
Episode 222: 222. Ablation for AFIB in patients with HFrEF
Episode 221: 221. Nurse Led Sleep Restriction IMPROVES Insomnia
Episode 220: 220. Semaglutide at 1yr Gives Small Improvement in Questionnaire for those with HFpEF
Episode 219: 219. Oral Iron better with vitamin C on an empty stomach
Episode 218: 218. Semaglutide and CAD But No Diabetes - Decrease Event$$$$$$
Episode 217: 217. Olanzapine 2.5mg for weight gain with advance cancer
Episode 216: 216. AFIB- RATE or ABLATE-- New guidelines
Episode 215: 215. Enteric coated or uncoated aspirin, which is better or safer?
Episode 214: 214. NEW FORMAT-- What is the best drug for alcohol use disorder?
Episode 213: 213. Heart Failure CME lecture
Episode 212: 212. Stroke and TIA management and update
Episode 211: 211. Pharmacogenomics Testing, PHASER,
Episode 210: 210. An Evidence Based Update for Hospitalist
Episode 209: 209. Medical Update -- kidney stones, statins, iron, heart failure, vitamin D
Episode 208: 208. Medical Update- VIP medicine, Pre-Diabetes, Prevent food allergies, PRP
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